Medical Accounts Receivable Specialist

Medical Accounts Receivable Specialist

Join our healthcare team as a Medical Accounts Receivable (AR) Follow-Up Specialist, where you'll play a key role in managing the revenue cycle process. This position focuses on performing payment follow-up activities, resolving outstanding claims, and ensuring accurate and timely reimbursement from insurance payers. You'll work with attention to detail and professionalism to ensure all accounts are handled in compliance with federal and state regulations.

Perform payment follow-up activities on assigned patient accounts.

Conduct collection activities by contacting government agencies, third-party payers, or patients via phone, email, or online portals.

Continue follow-up efforts until the account is resolved, paid, or appropriately escalated.

Review and address previously appealed claims, ensuring timely responses from payers.

Request and track additional documentation from internal departments or patients as needed.

Research payer plans and verify benefit coverage to resolve claim discrepancies.

Identify billing or coding issues and request re-bills, secondary billing, or corrected claims as required.

Monitor payer trends and escalate recurring issues or delays to management.

Maintain productivity and quality standards for assigned accounts.

Ensure compliance with all federal, state, and payer-specific regulations related to medical collections and appeals.

Collaborate with other departments to ensure efficient resolution of account issues.

High school diploma or equivalent required; post-secondary education in billing or healthcare administration preferred.

Minimum 12 years of experience in medical billing, collections, or accounts receivable follow-up.

Solid understanding of the revenue cycle process, including patient access, billing, and collections.

Working knowledge of Managed Care, HMO / PPO, Medicare / Medicaid, and commercial payer guidelines.

Familiarity with UB-04 and HCFA 1500 billing forms.

Strong analytical and problem-solving skills with attention to detail.

Excellent written and verbal communication skills.

Ability to meet daily productivity and accuracy standards.

Proficiency in Microsoft Office and experience with billing or claim management systems preferred.

Our success starts with our people. We believe in creating an environment where you can be yourself, work on interesting projects, and grow your own way. Whether you're working from our offices or from home, you'll be part of a supportive, inclusive community that celebrates diverse perspectives and empowers you to make an impact every day.

Choose Growth. Choose Sutherland.

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